Maple Heights Nursing & Rehabilitation Center - Hiawatha Nursing Home
General Information
UPDATEFederal Provider Number
175508
Provider Name
MAPLE HEIGHTS NURSING & REHABILITATION CENTER
Provider Address
RR 2 E IOWA ST
HIAWATHA, KS 66434
HIAWATHA, KS 66434
Provider Phone Number
7857427465
Provider SSA County
60
Provider County Name
Brown
Ownership Type
Non profit - Corporation
Number of Certified Beds
67
Number of Residents in Certified Beds
51
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAFAYETTE LIFEPLANS OF HIAWATHA, INC.
Date First Approved to Provide Medicare and Medicaid services
2008-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.91471
Reported LPN Staffing Hours per Resident per Day
0.55196
Reported RN Staffing Hours per Resident per Day
0.51961
Reported Licensed Staffing Hours per Resident per Day
1.07157
Reported Total Nurse Staffing Hours per Resident per Day
3.98628
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01078
Expected CNA Staffing Hours per Resident per Day
2.32090
Expected LPN Staffing Hours per Resident per Day
0.54275
Expected RN Staffing Hours per Resident per Day
0.90015
Expected Total Nurse Staffing Hours per Resident per Day
3.76380
Adjusted CNA Staffing Hours per Resident per Day
3.08148
Adjusted LPN Staffing Hours per Resident per Day
0.84408
Adjusted RN Staffing Hours per Resident per Day
0.43132
Adjusted Total Nurse Staffing Hours per Resident per Day
4.26917
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-07-09
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
48
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2011-12-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
108.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Tri-county Manor Living Center Inc
1890 Euclid Ave |
HORTON KS 66439 | 12.3 miles away
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